| NPI | 1083385306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN L STUKENHOLTZ A RN P, Pmhnp Bc/Owner 515-344-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2023-06-29 |